HomeMy WebLinkAbout2002-P05456 - re-side .
PERMIT
CIT�Y ,nF ORONO
2750 Kelley Parkway - PO Box 66 Permit Number: pos4s6
Crystal Bay, Minnesota 55323 Permit Type: MinorAtcerat�ons
(952) 249-4600 Date Issued: �i26i2oo2
SITE ADDRESS: 1395 Cherry Pl
Mound,MN 55364
PI D: 07-117-23-41-0004
DESCRIPTION: UBC Occupancy R3
Proposed Use: Residenrial
Pernut Class: Building Census Code O/S-Building
Permit Type: Minor Alterations Permit Sub-type(s): Building-Re-Side
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Pernut Fee: $ 83.25
Valuation: $ 3,000.00
State Surcharge Fee: $ 2.00
TOTAL FEE: $ 85.25
APPLICANT: Sun Contractors and Home Improvement OWNER: Ann Hentges
2365 Commerce Blvd 1395 Cherry Pl
Mound,MN 55364 Mound MN 55364
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPLICANT PGRMITEE SIGNATURE [SS ED BY SIGNATURE
Copies: 1-File(SiQnitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1
Total Fee: $ Date Received:
, _
'Entezed By: Pernut#:
CITY OF ORONO - BUII.,DING PERMIT APPLICATIOlet
All information must be submitted in full before plan review will be started.
(please print all information)
----------------------------------------------------_----------------------_-�---------------------------------
THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR,
JOB SITE ADDRESS: /3 9S C��`r� ��l�� ZIP: �s,�� �
NAME OF OWNER: � P� � PHONE: (home) 9,�,7-�7/-.�v35
(work)
MAILIl�TG ADDRESS: /39�C��i'rv /�/crcy� CITY: �ras�v ZIP: 5�
CONTRACTOR: (..� u �a ree r �r�„N PHONE: 9S�-��a-3�3.�
CO�t'TACT PERSON: rr�/ OBILE/PAGER: �/,2-� Ps' -�6 0 0
MAILING ADDRESS: a��S mn�e�c'� �lv�% C�: /YJdun c% ZIP: �5.3�
STATE LICENSE: # �Da 9933 S
ARCHIT'ECT/ENGINEER: PHONE:
MAILING ADDRESS: CITY: ZIP:
NAi�IE: REGISTRATION#
TYPE OF `VORK: New Addition Accessory Structure
Move Remodel/Alteration Land Alteration
PROPOSED`VORK (describe in detain: �e��cc,e ���/���,
STORIES: � SQ. FEET OF EACH FLOOR:
NO. OF BEDROO`�iS: GARAGE STALLS: ATT. DET.
c.�-
ESTIMATED CONSTRUCTION VALUATION (excluding land): $ 3�a o
I hereby apply for a building pernut and I acknowledge that the information above is complete and
accurate; that the work will be in conformance with the ordinances and codes of the Ciry and with
the State Building Code; that I understand this is not a permit and work is not to start without a
permit; and that the work will be in accordance with the approved plan.
APPLICANT'S SIGNATURE: �� Q L"�G����� DATE: �`�l`� .�
NOTE! Parade 4f Homes eve�zts require separate permit approval by Police Department and
City Counci160 days prior to the event. Non permitted events will not be allowed.
. ,
.
Sec.13.04 RIGFiTS OF SliBJECTS OF D.aT�
Subd. 1. Type of data. 'l�e righ�s of individual on w6om[he data is stored or to be scnred shall be as set forth in this secaon.
Subd.2. Intormatiun required to be given individual. An individual uked to supply private or confidendal data concerning himself shall
be informed of: (a) the purpose and ineended use of[he requested data within the collecang State agency, polidcal subdivision, or sntewide rystem;
(b)whe�her he may refuse or is fegaily required ro supply�he requested data;(c)any Irnown consequence arising from his supplying or refusing to supply
priva�e or confidential data;and(d)ch�;den�iry of ocher persoas or enrides auchorized by state or federal law ro receive the data. This requiremeoc shall
not apply when an indi�idual is asked co supply invesdgaave dam, pursuant to section 13.82, subdivision 5, to a law enforcem�oc o�cer.
Thz commissioner of revenue mav plac� the norice reauired under this subdivision in the individual income tax or vropem rax refund
instructions ins:_ad of on �hcs� torms.
Subd. 3. Access to data by indi��idual. Upon request to a responsible authority,an individual shall be informed whe�her he is�he subject
of s�ored data on individuals, and whecher i�is ciassified as public, private or confidential. Upon his further request, an individual who is the subject
of scor:d privace or public daca on individuals shall be shown the dara wi[hout any charge to him and,�if he des'ues, shall be informed of the conrent
ar.d mearung et�hat daca. Af�er an individual has been shown[he private data and informed of its meaning, the dara need not be disclosed to hun for
six monchs thereaher unless a dispu�e or acaon pursuant to ehis section is pending or addiaonal data on the individual has been collecced or creaced.
The responsible auchoriry shaf;providz copies of che private or public data upon request by the individual subject of[he data. The responsible authoriry
may require the requesring person ro pay ehe ac�ual cosu of making,cervfying,and compiling the copies.
The responsible authorin shall comply immediately, if possible, with any request made pursuant ro this subdivision, or wi�hin five days of
che dace of the request, ezcluding Sacurdays,Sundays and legal holidays,if immediate compliance is noc possible. If he cannot comply wi�h che request
wi�hin rha[[ime, he shall so iniorm che individual,ar,d may have an addidonal five days within which to comply with the request,exciuding Saturdays,
3undays and legal holidays.
Subd.4. Procedure when data�s not accurate or complete. An individual may conrest the accuracy or completeness of public or pri��ate
dac�concerning himself. To zxereise chis nehc,an individual shall nodfy in wriang the responsible authoriry describing[he nature of the disagreemeot.
The responsible aurhonry shali wi�hin 30 day s ei;her. (a)correct the data found to be inaccurate or incomplete and attempt to noafy past recipiencs of
inaccura[e or incomplete da�a, includinz recipier,�s named by the individual„or(b)noufy the individual that he believes [he data to bz correc[. Data
in dispu�e shall be disclosed only ii�he ir.dividua;'s s[acemenc of disagreement is included with the disclosed data.
Tlit dererr.linadon of�he r�sp nsioie au:hunry may be appealed pursuant to the provisions of the adminisa-arive proc�dure ac� reladng to
contesced cases.
DATA PRIVACY ADVISORY
In accordance wi�h M.S. 13.04, Subd. 2, "Rights of subjects of data", we would like to inform you that your request
for a pemut or license from the City of Orono or any of its departments may require you to furnish certain private or
confidential information.
You are notified [har.
1. The infonnation you furnish will be used to determine your qualification for the permit or license requested.
?. You may refuse to supply da[a, but refusal may require that the City deny che permit or license.
3. The information may be shared with other local, state or federal agencies to the exten[ necessary to process
the permit or license.
d. If your requested permit or license requires Council action to approve, some information may become
public.
5. You hav� cenain ri�hts under N1.S. 13.04 (available upon request) to review private data on yourself.
6. Your full name is required �o process this application or permit.
���'1%��
First Middle Last
Address
C��y State Zip Phone
I und�rs d y ri�hts as s�a[ed u���ove.
� �
Signa�ur
,/ DATE TIME
CITY OF ORONO " CALLED IN
INSPECTIO OTIC SCHEDULED "�Z ___�
PERMIT N0� SSo COMP�ETED
ADDRESS ��--
OWNER_I��$�,st� NTR.��Y�. �
TELEPHONE N0. �S � �� o� 3 � 3�
� DESCRIPTION_�-�- - �
� O7 FOOTING 11 MECHANICAL RI 18 EXCAV/GRADING/FILLING
Q 02 FRAMING 13 MECHANICAL FINAL 19 IAKESHORE/WETLANDS
y 03 INSULATIGN 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL
Z 04 W 12 WATER HOOK-UP 17 SITE INSPECTION
Q INA 14 SEWER HOOK-UP O6 PROGRESS
� MO-SITE 27 SEPTIC MAINT. 21 COMPLAINT
� 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP
= 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL
J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL
� OWNER/CONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS:
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W� ❑WORKSATISFACTORY:PROCEED ROJECTCOMP�ETE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
p ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECTUNSAFECONDITIONWITHIN HOURS. p pHOTOTAKEN
INSPECTOR W{LL RETURN
❑STOP ORDER POSTED.CAL�INSPECTOR �CITATION ISSUED
❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Call for the next inspection 24 hours in advance. �952� 249-46QQ
Own tractor on 'e:
Inspector.
W ' Copylinspector's File Canary Copy/Site Notice